ahs board and executive expense report · 4/5/2017 $ 75.90 airport taxi service from downtown...

Name Sean ChiltonTitle VP Collaborative Practice, Nursing & Health ProfessionsLocation LethbridgeExpenses submitted during the month of April 2017

MMM-YYSource

Document Purpose Airfare Meals AccommodationOther Travel

Total Travel

Professional Development

(2)

Working Sessions

Hosting and Hospitality

(3)Other

(4)

Apr-17 P-Card Meetings 26 1,102 318 1,446 Apr-17 Expense Claim Meetings 170 172 342 Apr-17 Direct Billing Meetings 1,644 43 1,687

Total 1,670$ 170$ 1,102$ 534$ 3,475$ -$ -$ -$

Total for the Month $ 3,475

Maximum daily single meal expense claimed in the month 24$ Maximum daily base hotel rate claimed in the month 269$ Non economy air travel in the month -$

1) Travel expenses Includes local and out of province/country travel expenses. Other travel includes items such as taxis, parking mileage, car rental and other expenses related to travel.

2) Professional DevelopmentIncludes conference, seminar and course registration fees and material

3) Hosting and Hospitality expensesHospitality and Hosting expenses may be incurred to advance AHS' mission, vision and values. For example, may include working lunches with staff and prospective employees meetings with government officials, dignitaries, public interest groups, donors other public or private organizations.

4) OtherOther expenses include expenses incurred in the normal course of business that are required for work purposes. May include small item technology purchases, books, etc.

5) Remuneration, Allowances Reported in the Financial Statements Car allowance, honoraria, meeting fees, and any other employment benefits reported in the annual financial statements are excluded from this report.

Travel (1)

AHS Board and Executive Expense Report

AHS Public Disclosure P-Card

Claimant Name

Claimant Title Claimant Location

Expense Claim Total

CHILTON, SEAN A

VP Collaborative Practice, Nursing & Health Professions

Lethbridge $ 1,446.19

Expense Date Amount From Location To Location Justification # of days

# of Attendees

Attendee Name(s)

Trip Distance

3/22/2017 $ 5.00 1

3/22/2017 $ 172.89 1

3/22/2017 $ 15.00 1

3/22/2017 $ 59.09 Meetings all over YYC, a rental car is less expensive than taxis

1

3/24/2017 $ 11.25 1

3/24/2017 $ 22.08 1

3/29/2017 $ 97.01 1

4/4/2017 $ 26.25 1

4/5/2017 $ 75.90 Airport taxi service from downtown Toronto to the airport

1

4/8/2017 $ 100.00 1

4/8/2017 $ 831.72 1

4/12/2017 $ 30.00 1

Business reason Expense Location Expense Type

Parking at SPT AB - Other Zones Parking - Lot or Parkade

Meetings for IM/IT, Meet and Greets, and Midwifery in YYC

AB - Other Zones Car Rental

fuel for rental car for meetings in YYC AB - Other Zones Fuel

Overnight between Sr Leaders Meeting and other YYC meetings the next day

AB - Other Zones Accommodations

Overnight in Peace River for Midwifery meetings

AB - North Zone Accommodations

Parking at RAH for AAM Member Meeting AB - Local Parking - Lot or Parkade

Fuel for trip to Ponoka for meeting at Cenennial Centre

AB - Local Fuel

Airport taxi service from downtown Toronto to the airport

ON Taxi

airport parking for trip to Toronto for Natl Nursing Conference

AB - Local Parking - Lot or Parkade

Baggage fee for 1 bag on 3-day trip AB - Local Airfare

Approver(s) for the claim Approval Status Approval Date

YIU, VERNA Approve 1-May-17

trip to Toronto for Natl Nursing Conference TORONTO, ON Accommodations

Parking at ATB for meeting with Field LLP AB - Local Parking - Lot or Parkade

AHS Public Disclosure Expense Claims

Claimant Name

Claimant Title Claimant Location

Expense Claim Total

CHILTON, SEAN A

VP Collaborative Practice, Nursing & Health Professions

Lethbridge $ 342.21

Expense Date Amount From Location To Location Justification # of days

# of Attendees

Attendee Name(s)

Trip Distance

3/28/2017 $ 24.00 1

3/29/2017 $ 37.00 1

4/3/2017 $ 172.21 Seventh Street Plaza

Michener Bend, Red Deer

1 341

4/3/2017 $ 13.00 1

4/5/2017 $ 24.00 1

4/6/2017 $ 24.00 1

4/7/2017 $ 24.00 1

4/8/2017 $ 24.00 1National Nursing Data Standards Conference ON Meals Per Diem

YIU, VERNA Approve 1-May-17

Approver(s) for the claim Approval Status Approval Date

Trip to Red Deer for AHS/AAM Allocation Meeting

AB - Other Zones Meals Per Diem

National Nursing Data Standards Conference ON Meals Per Diem

Trip to Peace River for Midwifery meetings AB - North Zone Meals Per Diem

AHS/AAM Allocation Meeting Mileage-Other



Trip to Peace River for Midwifery meetings AB - North Zone Meals Per Diem

Business reason Expense Location Expense Type

Purpose of This Form:

The information will be used for public disclosure reporting.

Expenses Paid Directly to Third Party Vendors:

Examples include but are not limited to hotels, travel agencies, car rental agencies, conferences, courses and expenses reimbursed from a petty cash fund.

Indicate whether you have expenses to report in this section for this reporting period:

Name : Reporting Period for the Month of :

Total Paid in the Month

Expense Report Direct Bill Summary

16-Mar-2017

Copies of invoices and other relevant back up must be attached, approvals for hosting events/working sessions that exceeds $600 must be provided.

Direct Bill Report

5-Apr-2017 Direct Billing Airline Ticket Flights for Sean Chilton to attend the AHS Private Board Meeting in Calgary, April 27, 2017

16-Mar-2017 Direct Billing Airline Ticket West Jet seat selection fee for flights to/from Toronto for National Nursing Data Standards Symposium Marlin Travel

Marlin Travel

401.06 Marlin Travel

42.00

Direct Billing

23-Mar-2017

20-Apr-2017 104.50

Airline Ticket Flights for Sean Chilton to attend the National Nursing Data Standards Symposium in Toronto, April 6-8, 2017. 496.20

Direct Billing Airline Ticket

1,454.87$

Direct Billing Airline Ticket $75 change fee plus $29.50 difference in fare to change the time of Sean Chilton's flights on April 27, 2017 Marlin Travel

One-way flight from Edmonton to Washington, DC for Sean Chilton to attend the IHI Spring Meeting Marlin Travel 411.11

(i.e. accommodations, airline tickets, car rentals, hosting events and working sessions) Enter all expenses pertaining to professional development such as conferences and courses, etc. Enter all expenses paid by AHS not mentioned above.

Information will be used for reporting purposes only. A personal cheque must be attached to cover expenses deemed ineligible.

The purpose of this form is to report expenses incurred on behalf of a designated Executive or an AHS Board Member and paid for by a third party vendor.

AHS may have established accounts with certain vendors used to book travel and other expenses that are billed directly to AHS.

It is mandatory to include in monthly reports these expenses that pertain to each member. AHS is required to disclose expenses for allapplicable receipts and back up must be attached.

Enter all items related to expenses incurred while conducting AHS business and paid for via a third party vendor

Apr-17

YES

Sean Chilton

DD-MMM-YYYY Payment Method Category Description/Purpose of the Expense Name of Vendor Amount Paid

Purpose of This Form:

The information will be used for public disclosure reporting.

Expenses Paid Directly to Third Party Vendors:

Examples include but are not limited to hotels, travel agencies, car rental agencies, conferences, courses and expenses reimbursed from a petty cash fund.

Indicate whether you have expenses to report in this section for this reporting period:

Name : Reporting Period for the Month of :

Total Paid in the Month

Information will be used for reporting purposes only.

Expense Report Direct Bill Summary

The purpose of this form is to report expenses incurred on behalf of a designated Executive or an AHS Board Member and paid for by a third party vendor.

AHS may have established accounts with certain vendors used to book travel and other expenses that are billed directly to AHS.

It is mandatory to include in monthly reports these expenses that pertain to each member. AHS is required to disclose expenses for allapplicable receipts and back up must be attached.

Direct Bill Report

Enter all items related to expenses incurred while conducting AHS business and paid for via a third party vendor (i.e. accommodations, airline tickets, car rentals, hosting events and working sessions) Enter all expenses pertaining to professional development such as conferences and courses, etc. Enter all expenses paid by AHS not mentioned above. Copies of invoices and other relevant back up must be attached, approvals for hosting events/working sessions that exceeds $600 must be provided.

A personal cheque must be attached to cover expenses deemed ineligible.YES

Sean Chilton Apr-17

DD-MMM-YYYY Payment Method Category Description/Purpose of the Expense Name of Vendor Amount Paid

42.63

23-Mar-2017 Direct Billing Airline TicketOne-way flight from Washington, DC to Edmonton for Sean Chilton to return from the IHI Spring Meeting. Air Canada credit used, billed $31.50 change fee and $157.50 difference in fare

Marlin Travel 189.00

23-Mar-2017 Direct Billing Car Rental Drive from Edmonton to Ponoka and back for meetings at Centennial Centre Other

231.63$

Invoice

Booking Date:

Client:

Agent:

ALBERTA HEALTH SERVICES


10030 - 107 STREET

EDMONTON AB

T5J 3E4

16 Mar 17Trip #:

File Locator:

PASSENGERS: MR SEAN CHILTON

TOTALREFERENCE/ DESCRIPTION

OTHER

TAXESHST/GSTFARE PENALTYPST

WESTJET Ticket # 496.20 CAD 0.00 380.24 115.96 0.00$0.00

WESTJET Ticket # 42.00 CAD 0.00 42.00 0.00 0.00$0.00

538.20 115.96 422.24 Total: 0.00 CAD 0.00 0.00

PAYMENTS Form of PaymentInvoice # Payment Date Card Holder Amount

CAD03/16/2017 496.20

CAD03/16/2017 0.00

CAD06/20/2017 42.00

Total Payment: 538.20 CAD

Balance Due CAD Currency 0.00 CAD

0.00Total GST Total HST $0.00

CORPORATE UNIT 101

REASON FOR TRAVEL NNDS MEETING

AIR FLIGHT ACCIDENT INSURANCE IS PROVIDED AT NO COST TO OUR CLIENTS FOR THE PRINCIPAL SUM $100000

UNDER GROUP POLICY GTRMM 11506 UNDERWRITTEN BY MANULIFE FINANCIAL

*************************************************** AFTER HOURS EMERGENCY HELP DESK WITHIN CANADA OR UNITED

STATES CALL ...1 888 342 3292 OUTSIDE OF TOLL FREE AREA CALL COLLECT...303 801 2147 PLEASE QUOTE ACCESS

CODE 2EC0 *************************************************** ***PLEASE REVIEW YOUR ITINERARY FOR ACCURACY***

PLEASE INFORM US WITHIN ONE BUSINESS DAY SHOULD YOU FIND ANY DISCREPANCIES. DEPENDING ON THE

NATURE OF THE DISCREPANCY COSTS ASSOCIATED WITH MAKING CORRECTIONS MAY BE YOUR RESPONSIBILITY -------

------WESTJET AIRLINE RULES-------------- TICKET IS NON REFUNDABLE CHANGES PERMITTED UP TO 2 HOURS PRIOR TO

FLIGHT TIME CHANGE FEES PLUS ANY FARE INCREASE WILL APPLY TICKET MUST BE CANCELLED AT LEAST 2 HOURS

PRIOR OR NO CREDIT WILL APPLY 24 HOURS IN ADVANCE GO TO WWW.WESTJET.COM TO CHECK IN AND PRINT YOUR

BOARDING PASS. ********************************************** ****PLEASE NOTE CHECKIN TIMES***************** **DOMESTIC

FLIGHTS--CHECKIN 90 MINUTES PRIOR **DOMESTIC COUNTER WILL CLOSE 45 MINUTES PRIOR

GOVERNMENT CENTRE

MAIN FLOOR, 9929- 108TH ST, EDMONTON, AB T5K1G8

Tél.: 780 425 8611

GST REG# 88510191 Page 1 of 3v14

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

16 Mar 17Trip #:

File Locator:

MY ITINERARY

Passengers

SEAN CHILTON Not Specified

Required Travel DocumentsCitizenship

Not Specified

All passengers need to ensure that correct documentation requirements are met for entry to the applicable destinations as

well as for their return to Canada

AIR

03/16/2017Booking Date:

File Locator/Ticket #:Passengers: SEAN CHILTON

From: EDMONTON INTL 04/05/2017

Returning on:To: TORONTO 04/08/2017Departing on:

AIR



FlightAirline From To Class Seat StopsTerminal

00436 EDMONTON INTL TORONTO PEARSON X04/05/2017 12:10PM 04/05/2017 5:49PM

WESTJET

GOVERNMENT CENTRE


Tél.: 780 425 8611


http://www.travcom.ca

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http://www.wunderground.com/cgi-bin/findweather/getForecast?query=YEG


Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

16 Mar 17Trip #:

File Locator:

AIR




00439 TORONTO PEARSON EDMONTON INTL X04/08/2017 4:30PM 04/08/2017 6:39PM

WESTJET

GOVERNMENT CENTRE


Tél.: 780 425 8611



Invoice

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

07 Apr 17Trip #:

File Locator:



OTHER


AIR CANADA Ticket # 401.06 CAD 0.00 326.10 74.96 0.00$0.00

401.06 74.96 326.10 Total: 0.00 CAD 0.00 0.00


CAD04/05/2017 401.06




CORPORATE UNIT 101

REASON FOR TRAVEL ANNUAL PERFORMANCE APPRAISALS FOR NUEE

-----------AIR CANADA RULES-------------- TICKET IS NON REFUNDABLE CHANGES PERMITTED UP TO 2 HOURS PRIOR TO

FLIGHT TIME CHANGE FEES PLUS ANY FARE INCREASE WILL APPLY 24HOURS IN ADVANCE GO TO

WWW.AIRCANADA.COM TO CHECK IN AND PRINT YOUR BOARDING PASS. -----------AIR CANADA RULES-------------- TICKET

IS NON REFUNDABLE CHANGES PERMITTED UP TO 2 HOURS PRIOR TO FLIGHT TIME CHANGE FEES PLUS ANY FARE

INCREASE WILL APPLY 24HOURS IN ADVANCE GO TO WWW.AIRCANADA.COM TO CHECK IN AND PRINT YOUR BOARDING

PASS.

GOVERNMENT CENTRE


Tél.: 780 425 8611


Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

07 Apr 17Trip #:

File Locator:

MY ITINERARY

Passengers



Not Specified



AIR




08171 EDMONTON INTL CALGARY INTL G04/26/2017 6:00PM 04/26/2017 6:57PM

AIR CANADA

AIR




08154 CALGARY INTL EDMONTON INTL H04/27/2017 5:00PM 04/27/2017 5:50PM

AIR CANADA

GOVERNMENT CENTRE


Tél.: 780 425 8611




Invoice

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

20 Apr 17Trip #:

File Locator:



OTHER


AIR CANADA ONLINE Confirmation # 29.50 CAD 0.00 29.50 0.00 0.00$0.00

AIR CANADA ONLINE Confirmation # 75.00 CAD 0.00 75.00 0.00 0.00$0.00

104.50 0.00 104.50 Total: 0.00 CAD 0.00 0.00


CAD04/20/2017 29.50

CAD04/20/2017 75.00




CORPORATE UNIT 101

REASON FOR TRAVEL ANNUAL PERFORMANCE APPRAISALS FOR NUEE

-----------AIR CANADA RULES-------------- TICKET IS NON REFUNDABLE CHANGES PERMITTED UP TO 2 HOURS PRIOR TO

FLIGHT TIME CHANGE FEES PLUS ANY FARE INCREASE WILL APPLY 24HOURS IN ADVANCE GO TO

WWW.AIRCANADA.COM TO CHECK IN AND PRINT YOUR BOARDING PASS. -----------AIR CANADA RULES-------------- TICKET

IS NON REFUNDABLE CHANGES PERMITTED UP TO 2 HOURS PRIOR TO FLIGHT TIME CHANGE FEES PLUS ANY FARE

INCREASE WILL APPLY 24HOURS IN ADVANCE GO TO WWW.AIRCANADA.COM TO CHECK IN AND PRINT YOUR BOARDING

PASS.

GOVERNMENT CENTRE


Tél.: 780 425 8611


Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

20 Apr 17Trip #:

File Locator:

MY ITINERARY

Passengers



Not Specified



AIR




08580 EDMONTON INTL CALGARY INTL V04/26/2017 6:00AM 04/26/2017 6:52AM

AIR CANADA




08580 EDMONTON INTL CALGARY INTL V04/26/2017 6:00AM 04/26/2017 6:52AM

AIR CANADA





AIR CANADA





AIR CANADA

GOVERNMENT CENTRE


Tél.: 780 425 8611






Invoice

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

MR SEAN CHILTON

23 Mar 17Trip #:

File Locator:


OTHER


DELTA AIR LINES INC Ticket # 411.11 CAD 0.00 315.00 96.11 0.00$0.00

411.11 96.11 315.00 Total: 0.00 CAD 0.00 0.00

PAYMENTS

Payment against balance in the exchanged amount of - exch rate


Payment Due Date: 23 Mar 17


CORPORATE UNIT 101

REASON FOR TRAVEL HILA SPRING MEETING







NATURE OF THE DISCREPANCY COSTS ASSOCIATED WITH MAKING CORRECTIONS MAY BE YOUR RESPONSIBILITY

GOVERNMENT CENTRE


Tél.: 780 425 8611


Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

MR SEAN CHILTON

23 Mar 17Trip #:

File Locator:

MY ITINERARY

Passengers



Not Specified



AIR




04818 EDMONTON INTL MINNEAPOLIS K05/03/2017 8:15AM 05/03/2017 12:06PM

DELTA AIR LINES INC

01589 MINNEAPOLIS WASHINGTON REAGAN K05/03/2017 1:05PM 05/03/2017 4:37PM

DELTA AIR LINES INC

GOVERNMENT CENTRE


Tél.: 780 425 8611



Invoice

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

23 Mar 17Trip #:

File Locator:



OTHER




189.00 0.00 31.50 Total: 7.50 CAD 150.00 0.00


CAD08/04/2017 31.50

CAD03/23/2017 157.50




CORPORATE UNIT 101

REASON FOR TRAVEL IHI SPRING MEETING

AIR CANADA CREDIT USED

$406.61 New ticket -- (406.61 ) Credit + 157.50 change fee = 157.50

--------------------------------------------------------------------







NATURE OF THE DISCREPANCY COSTS ASSOCIATED WITH MAKING CORRECTIONS MAY BE YOUR RESPONSIBILITY

********************************************** ****PLEASE NOTE CHECKIN TIMES***************** **DOMESTIC FLIGHTS-

-CHECKIN 90 MINUTES PRIOR **DOMESTIC COUNTER WILL CLOSE 45 MINUTES PRIOR TRANSBORDER

FLIGHTS-CHECKIN 120 MINUTES PRIOR TRANSBORDER COUNTER WILL CLOSE 60 MINUTES PRIOR

GOVERNMENT CENTRE


Tél.: 780 425 8611


Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

23 Mar 17Trip #:

File Locator:

MY ITINERARY

Passengers



Not Specified



AIR



From: WASHINGTON DULLES 05/08/2017

Returning on:To: TORONTO PEARSON 05/08/2017Departing on:

AIR




07373 WASHINGTON DULLES TORONTO PEARSON A05/08/2017 3:40PM 05/08/2017 5:04PM

AIR CANADA

00175 TORONTO PEARSON EDMONTON INTL A05/08/2017 8:55PM 05/08/2017 11:02PM

AIR CANADA

GOVERNMENT CENTRE


Tél.: 780 425 8611



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